32. Hygienic phase Flashcards

1
Q

Treatment sequence is according to

A

Ramfjord

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2
Q

Aim of hygienic phase

A
  • Achieve infection free oral cavity, free of plaque and calculus
  • Removal of plaque retentive factors
  • Extraction of irrational to treat teeth
  • Scaling and planning
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3
Q

Natural plaque retentive factors

A
  • Calculus
  • Deep fissures and equators
  • Caries
  • Crowding
  • Furcations
  • Malocclusion-crowding, rotations
  • Frenuli
  • Recession
  • Shallow vestibulum
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4
Q

Types of frenulum

A
  • Gingival
  • Mucosal
  • Papilla
  • Papilla penetrating
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5
Q

Iatrogenic plaque retentive factors

A
  • Poorly adapted restorations
  • Fixed orthodontic appliances
  • Mouth breathing-xerostomia/hyposalivation
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6
Q

Types of prognosis

A
  • Good
  • Doubtful
  • Irrational to treat
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7
Q

Factors used in different types of prognosis

A
  • Periodontal
  • Endodontic
  • Dental
  • Functional
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8
Q

Periodontal doubtful prognosis

A
  • Furcation involvement=1 or 2
  • Angular bony defects
  • Horizontal bone defect reaching 2/3 of root
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9
Q

Periodontal irrational prognosis

A
  • Recurrent abcess
  • Combined endo and periodonal lesion
  • Attachment loss to apex
  • Furcation involvement= 3
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10
Q

Endodontic doubtful prognosis

A
  • Large post or screw obturations
  • Incomplete root canal
  • Peri-apical pathology
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11
Q

Endodontic irrational to treat prognosis

A

Perforations in apical half of root

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12
Q

Dental doubtful prognosis

A
  • Extensive root caries that does not extend into root canal
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13
Q

Dental irrational to treat prognosis

A
  • Extensive root caries that does extend into the root canal
  • Verical root fractures 2/3 of the root
  • Oblique fractures into middle third of tooth
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14
Q

Functional irrational to treat prognosis

A
  • Third molars only without antagonist
  • Grade 3 mobility
  • Periodontitis and caries
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15
Q

When re-evaluation done

A

6 week to 6 months

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16
Q

What is done during re-evaluation

A
  • Periodontal risk assessment
  • Full periodontal status
17
Q

Information contained in periodontal risk assessment

A
  • Age
  • Number of implants
  • Number of sites per tooth/implant
  • No. of bop positive sites
  • No. of sites w/ pocket depths >5mm
  • No. of missing teeth
  • % alveolar bone loss
  • Systemic genetic diseases
  • Smoking(environmental factors)
18
Q

Environmental factors include

A
  • Non smoker
  • Former smoker
  • Occasional smoker
  • Smoker
  • Heavy smoker
19
Q

When epithelium regenerates

A

10-14 days

20
Q

When connective tissue regenerates

A

6 weeks

21
Q

When bone reforms

A

6 weeks to 3 months

22
Q

When periodontal healing takes place

A

up to 6 months

23
Q

Motivation Interview

A
  • Open ended questions
  • Affirm patient
  • Empathise
  • Provide info in neutral way(research indicates/ my patients tell me that)

-What are your thoughts
-You are clearly